Individual
MR. VIKTOR I GOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2935 N. CHURCH RD, WASILLA, AK 99687-4999
(907) 373-6747
(907) 373-3036
Mailing address
2935 N. CHURCH RD., P.O. BOX 874999, WASILLA, AK 99687-4999
(907) 373-6747
(907) 373-3036
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
936863
AK
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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